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Healthcare Credentialing Specialist

Greenkey Resources LLC · greenkeyllc.com
New YorkHybridContract
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The job in short

Provider credentialing.

AuditClinicalCompliance

Details

Found
7 d ago · posted 2026-10-26
Location
New York

Full description

Healthcare Credentialing Specialist Overview • The Healthcare Credentialing Specialist will oversee credentialing processes for clinical staff, ensuring compliance with healthcare regulations and maintaining accurate documentation. • This contract role offers a hybrid work arrangement, requiring two onsite days per week, providing flexibility and work-life balance. • Collaborate with HR and clinical leadership to streamline onboarding and credentialing activities, enhancing operational efficiency. • Utilize credentialing systems like CAQH and MD-Staff to manage documentation and verification processes effectively. • Support compliance initiatives by maintaining audit-ready records and ensuring timely recredentialing cycles. • Contribute to organizational goals by ensuring credentialing accuracy and supporting high-quality patient care delivery. • Work closely with external credentialing partners to resolve outstanding requirements and ensure seamless coordination. • Gain valuable experience in healthcare credentialing while working in a dynamic and collaborative environment. Healthcare Credentialing Specialist Key Responsibilities & Duties • Coordinate initial credentialing and recredentialing processes for clinical staff, ensuring compliance with regulatory standards. • Maintain accurate credentialing records in systems like CAQH and MD-Staff, ensuring data consistency. • Monitor credential expirations and track professional license renewals, certifications, and registrations. • Support primary source verification activities, ensuring documentation accuracy and completeness. • Collaborate with HR and clinical leadership to address credentialing delays and compliance concerns. • Assist with onboarding processes by communicating credentialing requirements to new hires and stakeholders. • Prepare for audits and regulatory reviews by maintaining organized and audit-ready credentialing files. • Contribute to process improvements by developing efficient workflows and documentation procedures. Healthcare Credentialing Specialist Job Requirements • Bachelor’s degree in Human Resources, Healthcare Administration, or related field preferred. • Minimum of three years of experience in healthcare credentialing or related administrative roles required. • Proficiency in credentialing systems like CAQH, MD-Staff, and familiarity with primary source verification processes. • Strong organizational skills and attention to detail for managing credentialing documentation and compliance records. • Excellent communication skills to coordinate with internal and external stakeholders effectively. • Ability to work independently and prioritize tasks in a fast-paced environment. • Experience with HRIS systems and credentialing platforms preferred. • Commitment to maintaining confidentiality and security of sensitive information.

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